Individual provider Active NPI

Brenda Bird

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1942933148
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7513-23 Issued in WI
Practice address
6515 Grand Teton PLZ
Madison, WI 53719-1048
Phone
(608) 713-9898
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218791-30 WI
Physician Assistant 363A00000X 7513-23 WI Primary

Addresses

Primary practice location

6515 Grand Teton PLZ
Madison, WI 53719-1048

Mailing address

6515 Grand Teton PLZ
Madison, WI 53719-1048
Phone (608) 713-9898

Other practice location 1

5100 Eastpark Blvd
Madison, WI 53718-2149
Phone (608) 713-9898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017000681 WI Practitioner - Physician Assistant 4587019104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Collaborative Solutions in Psychiatry, SCGroup PAC ID 6103131776, 8 clinicians

Practice addresses (Care Compare)

7818 Big Sky Dr
Madison, WI 53719-2840
Phone (608) 713-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7513-23WIMDPhysician Assistant
218791-30WIMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1942933148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-713-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GRAND TETON PLZ",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191048",
            "telephone_number": "608-713-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Eastpark Blvd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537182149",
            "country_code": "US",
            "telephone_number": "608-713-9898",
            "fax_number": "608-713-9647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "BRENDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "218791-30",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7513-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.